PHYSICIAN SERVICES AND CONSULTING, LLC (NPI# 1396288106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396288106 |
| Entity Type | Organization |
| Organization Name | PHYSICIAN SERVICES AND CONSULTING, LLC |
| Practice Address |
432 N Pleasant Ave Centralia IL 62801-3006 |
| Mailing Address |
Po Box 66738 # 19038 St Louis MO 63166 |
| Practice Telephone | 6362246646 |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2016-11-28 |
| Authorized Official Name | DR. DEEPU SUDHAKARAN (OWNER) |
| Authorized Official Telephone | 6184368300 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
432 N PLEASANT AVE |
| City | CENTRALIA |
| State | IL |
| Zip Code | 62801-3006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972615920 | Jeremy S Bowen | Physician Assistant | 432 N Pleasant Ave, Centralia, IL 62801-3006 | 2006-08-31 |
| 1326685983 | Chelsea M Price | Dietitian, Registered | 432 N Pleasant Ave, Centralia, IL 62801-3006 | 2019-12-03 |
| 1235776816 | Jaci Elizabeth Lake | Dietitian, Registered | 432 N Pleasant Ave, Centralia, IL 62801-3006 | 2019-12-03 |
| 1386815959 | Stacy D Menees | Nurse Practitioner | 432 N Pleasant Ave, Centralia, IL 62801-3006 | 2008-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996151 | Matthew Crawford | Counselor | 904 E Martin Luther King Dr, Centralia, IL 62801 | 2019-08-08 |
| 1588130314 | Kennah White | Counselor | 904 E. Mlk Drive, Centralia, IL 62801 | 2018-10-19 |
| 1245721588 | Lindsey Nicole Fogliasso | Counselor | 904 East Mlk Dr., Centralia, IL 62801 | 2018-05-22 |
| 1629573365 | Prabhat Shrestha | Student in an Organized Health Care Education/Training Program | 605 Sable Drive, Centralia, IL 62801 | 2018-03-26 |
| 1619496098 | Whitney Rathmann | Speech-Language Pathologist | 224 South Locust, Centralia, IL 62801 | 2017-09-17 |
| 1376082685 | Athena A Smith | Counselor | 904 E. Martin Luther King Dr, Centralia, IL 62801 | 2017-02-20 |
| 1447704069 | Meghan Branch | Counselor | 904 Martin Luther King Dr, Centralia, IL 62801 | 2016-08-11 |
| 1568820637 | Midland Area Agency On Aging | Case Management | 434 S Poplar Street, Centralia, IL 62801 | 2016-02-04 |
| 1104201714 | Keri Douglas | Nurse Practitioner | 1054 M. L. King Drive #125, Centrailia, IL 62801 | 2015-07-24 |
| 1215331509 | Melissa Dane | Counselor | 904 E Martin Luther King Dr., Centralia, IL 62801 | 2014-10-15 |
| Find all providers in zip 62801 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114129558 | Robert Francis Oatfield | Surgery | 2641 Seminary Hill Rd, Centralia, WA 98531-8974 | 2007-06-05 |
| 1124029509 | Mark Alden Murfin Jr. | Surgery | 1063 Martin Luther King Dr, Centralia, IL 62801-3001 | 2005-08-09 |
| 1679830566 | Brittany Leigh Tabler | Surgery | 1720 Cooks Hill Rd, Centralia, WA 98531-9071 | 2012-04-16 |
| 1942598180 | Huan Yan | Surgery | 1720 Cooks Hill Rd, Centralia, WA 98531 | 2011-07-20 |
| 1447490370 | Providence Health & Service Washington | Surgery | 1720 Cooks Hill Rd, Centralia, WA 98531-9071 | 2009-03-05 |
| 1639261654 | Emery J Chang | Surgery | 1720 Cooks Hill Rd, Pmg Sw Wa Centralia Gen Surg, Centralia, WA 98531-9071 | 2006-09-28 |
| 1477503423 | Daniel Kingsley Lowe | Surgery | 1720 Cooks Hill Rd, Centralia, WA 98531-9071 | 2006-05-11 |
| 1598714248 | Mark Gilbert Ropka | Surgery | 1720 Cooks Hill Rd, Centralia, WA 98531-9071 | 2006-05-09 |
| 1568410447 | Sally Maria Ehlers | Surgery | 1720 Cooks Hill Rd, Centralia, WA 98531-9071 | 2006-05-04 |
| 1881652139 | Atul Thakker | Surgery | 1720 Cooks Hill Rd, Centralia, WA 98531-9071 | 2006-05-03 |
| Find all providers in CENTRALIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.